| NPI | 1477546208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: ID M9326) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: ID M9326) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2022-03-23 |